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' NON-HAZARDOUS WASTE MANIFEST <br /> FORWARD , - <br /> �� INCORPORATED WASTE TREATMENT AND DISPOSAL FACILITY <br />' JOB ACCEPTANCE NO* � ��0 0 <br /> GENERATQR REQUIRED PERSONAL PROTECTIVE EQUIPMEIVT <br />' <br /> 'MAILING ADDRESS ❑GLOVES [—]GOGGLES ❑RESPIRATOR E]HARD HAT <br /> ❑TY-VEK ❑OTHER <br /> �gITY,STATE,ZIP ° s SPECIAL HANDLING PROCEDURES <br /> I • <br /> • <br /> - ,PHONE <br />' 'ICOIVTAOT 0ER,%QN� ' I <br /> $IdNATURE OF,AUTHORIZED AGENT, YM-,E ' , IDATE i <br /> ' F w <br /> 1 } <br /> VIfASTI;TYF?E'' ' RECEIVING FACILITY 1 „, <br />' ❑ SLUDGE <br /> • ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC LANDFILL <br /> DISPOS• ❑ CONSTRUCTION <br /> SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br />' ❑ CONSTRUCTION SOIL ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> GENEWINGFACIPT`( (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> 1 NAME TRACTOR LIC # t '', .� TPUCK,�VMBEJ <br /> ADDRESS _,=I F TRAILER LIC # <br /> • c ITSTATS,ZIR' TRAILER LIC # <br /> PG7NE END,DUMP " BOTTOM DUMP TRANSFER` i <br /> 11 <br /> FSIGNATI'IRq F'AU�1"+R� 1 1tE AGENT OR DRIVER MATE _ I�C7IrL-n0^FF(S '+ FLAT=BE tVAf1I3' y DRUMS:;.,3 <br /> ❑ ❑ ❑ ❑ <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions impair the safe and effective disposal of the waste or if the waste ; D[$P�75AL METHQDI ATO$EOMFLETEO'BY'FaRvvAt=ic� ' <br /> impairs the safe and effective operation of the Landfill Forward shall use t•j _+ t i <br /> reasonable efforts to promptly notify Disposer of its inability to accept the bISPOSE '' 10 �4tFiA '1F( KIIt 'C7FfEI d <br /> P R Y Y R Y P ale 3 , �,{ <br /> waste for any reason If Forwards refusal to accept the waste is based on <br /> weather or other site conditions, Forward shall notify the Disposer when site ❑ SOIL <br /> • conditions are expected to change such that Forward will be able to accept <br /> {the waste ❑ SLUDGE <br /> jobARKS;�<+1 <br /> s <br /> • ❑ NON-FRIABLE <br /> JFi PIY�ITY,,ITICOT NIJE�/IRIrR'I''s'_'i «`; `i It i �!(I2 , �,<`I, 3 ] <br /> ASBESTOS <br /> se ' 1 t li t ❑ <br /> WOOD <br /> ISIGNATtJ °' i <br /> ATI=I����Ea A1raENT=,'i,�I ', , t E ESATE,- <br /> ❑ ASH <br /> ' ❑ OTHER <br /> 4 <br /> SCHEDULING MUST BE MADE PRIOR TO 4 00 P M THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> ISUBJECT TO REFUSAL UPON ARRIVAL ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE <br /> TO SCHEDULE CALL(209)982-4298 <br /> F01(C9511NH)6-96 'T p_� <br /> SALES COPY MANIFEST # C I� <br />